Stacey Cotsenmoyer Lee Cotsenmoyer PTA

NPI 1700920733 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1700920733
Gender Female
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 NORTH BLVD. WEST LAKE CENTRE FOR REHABILITATION
LEESBURG FL, 34748, US
Phone (352) 728-6636
Fax (352) 787-4522
Business Location
11 LIVE OAK AVE
YALAHA FL, 34797-3031, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA12538
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According to our database, Stacey Cotsenmoyer Lee Cotsenmoyer PTA NPI is 1700920733, taxonomy code is 225200000X and license number is PTA12538, license state is located at Florida. Stacey Cotsenmoyer Lee Cotsenmoyer PTA physically located at 600 North Blvd. West Lake Centre For Rehabilitation, Leesburg FL, 34748. NPI Number Stacey Cotsenmoyer Lee Cotsenmoyer PTA has the Individual type.

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1700920733 NPI number is provided on an as is basis without warranty of any kind. 1700920733 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Cotsenmoyer Lee Cotsenmoyer PTA are for informational purposes only.